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MAGNOLIA MANOR OF COLUMBUS INC. NPI 1124043286


NPI Information

NPI: 1124043286
Provider Name: MAGNOLIA MANOR OF COLUMBUS, INC.

Doing Business As: NURSING CENTER EAST

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 11D2270274

Address:
2010 WARM SPRINGS RD
COLUMBUS, GA
ZIP 31904
Phone: (706) 324-0387
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MAGNOLIA MANOR OF COLUMBUS, INC. is a skilled nursing facility in Columbus, GA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. MAGNOLIA MANOR OF COLUMBUS, INC. NPI is 1124043286. The provider is registered as an organization entity type.
The provider Is Doing Business As Nursing Center East.

The provider's business location address is:

2010 WARM SPRINGS RD
COLUMBUS, GA
ZIP 31904
Phone: (706) 324-0387
Fax: (706) 324-0927

The provider's authorized official is Sibyl P. Bledsoe .
The authorized official title is Business Office Manager and has the following contact phone number (229) 931-5904.

The CLIA number assigned to this NPI record is 11D2270274 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 9/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility240030GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1115124MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
200083047AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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